"I Felt Supported, Empowered, and Encouraged": Early Findings from a Community Initiative to Strengthen and Support Families Through the First 1,000 Days of Life.

IF 0.8 4区 医学 Q4 NURSING
Journal of Community Health Nursing Pub Date : 2025-04-01 Epub Date: 2024-11-25 DOI:10.1080/07370016.2024.2430242
Amanda Terry, Chelsea Arnold, Zackery White, Mary O'Connor, Halima Ahmadi-Montecalvo
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引用次数: 0

Abstract

Purpose: Evaluation of the First 1,000 Days Suncoast Family Navigation program aimed to (1) describe the social needs of families in Southwest Florida and (2) measure the program's impact on client-reported mental health and social support outcomes.

Design: A multi-method design was employed, including quantitative data collected through an online social care referral network and longitudinal surveys, supplemented by qualitative key informant interview data.

Methods: A convenience sample of 538 parents who submitted online assistance request forms to First 1,000 Days between August 2020 and January 2024 were included. Phone surveys were conducted from October 2022 to October 2023 with a subset of individuals (n=33) at three timepoints: (1) initial intake; (2) 30 days; and (3) 60 days after receiving assistance. Key informant interviews were conducted (n = 20) to explore the themes of parental coping and resilience.

Findings: Parents reported statistically significant improvements in concrete and social support networks. We observed an average reduction in perceived stress scores of 3.88 points by 30 days and of 4.82 points by 60 days post intervention. The number of unhealthy mental health days per month was reduced from 9.9 to 6.0 days per month.

Conclusions: Social care technology paired with family navigation support demonstrates the potential for long-term impact on the quality of life, well-being, and self-sufficiency.

Clinical evidence: These early results make a compelling case for incorporating social care coordination services into clinical practice to achieve improved patient outcomes.

"我感到了支持、力量和鼓励":加强和支持家庭度过生命最初 1,000 天的社区倡议的早期发现。
目的:对 "最初 1,000 天阳光海岸家庭导航 "计划的评估旨在(1)描述佛罗里达州西南部家庭的社会需求;(2)衡量该计划对客户报告的心理健康和社会支持结果的影响:设计:采用多种方法进行设计,包括通过在线社会关怀转介网络和纵向调查收集定量数据,并辅以关键信息提供者访谈定性数据:在 2020 年 8 月至 2024 年 1 月期间,538 名家长向 "最初 1,000 天 "提交了在线援助申请表。在 2022 年 10 月至 2023 年 10 月期间,在三个时间点对其中一部分人(n=33)进行了电话调查:(1)初次接受援助;(2)30 天;以及(3)接受援助后 60 天。对关键信息提供者(n=20)进行了访谈,以探讨家长应对能力和复原力的主题:家长们报告说,他们在具体的社会支持网络方面有了明显改善。我们观察到,在干预后的 30 天和 60 天内,感知到的压力得分分别平均降低了 3.88 分和 4.82 分。每月不健康的心理健康天数从 9.9 天减少到 6.0 天:结论:社会护理技术与家庭导航支持的搭配显示出对生活质量、幸福感和自给自足产生长期影响的潜力:这些早期结果为将社会护理协调服务纳入临床实践以改善患者预后提供了令人信服的理由。
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来源期刊
CiteScore
1.40
自引率
10.00%
发文量
21
审稿时长
3 months
期刊介绍: This innovative publication focuses on health care issues relevant to all aspects of community practice -- home health care, visiting nursing services, clinics, hospices, education, and public health administration. Well-researched articles provide practical and up-to-date information to aid the nurse who must frequently make decisions and solve problems without the back-up support systems available in the hospital. The journal is a forum for community health professionals to share their experience and expertise with others in the field.
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